{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T05:06:30Z","timestamp":1697691990088},"reference-count":15,"publisher":"Akademiai Kiado Zrt.","issue":"12","license":[{"start":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T00:00:00Z","timestamp":1679788800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,3,26]]},"abstract":"<jats:p>A k\u00f6zlem\u00e9ny c\u00e9lja az Eur\u00f3pai \u00dajra\u00e9leszt\u00e9si Tan\u00e1cs (ERC) 2021. \u00e9vi \u00faj aj\u00e1nl\u00e1s\u00e1nak\n                    \u00f6sszefoglal\u00e1sa a gyermekek \u00fajra\u00e9leszt\u00e9s\u00e9r\u0151l. Gyermekkorban a leggyakrabban\n                    l\u00e9gz\u00e9si vagy kering\u00e9si el\u00e9gtelens\u00e9g eset\u00e9n a kompenz\u00e1ci\u00f3s mechanizmusok\n                    kimer\u00fcl\u00e9se vezet kering\u00e9smeg\u00e1ll\u00e1shoz. A kritikus \u00e1llapot\u00fa gyerek felismer\u00e9se \u00e9s\n                    ell\u00e1t\u00e1sa a megel\u0151z\u00e9s legfontosabb eleme. Az ABCDE-s\u00e9ma seg\u00edts\u00e9g\u00e9vel az \u00e9letet\n                    vesz\u00e9lyeztet\u0151 elt\u00e9r\u00e9sek azonos\u00edthat\u00f3k, \u00e9s egyszer\u0171 elj\u00e1r\u00e1sokkal\n                    (ballonos-maszkos l\u00e9legeztet\u00e9s, intraossealis kan\u00fcl\u00e1l\u00e1s, folyad\u00e9kbolus stb.)\n                    megkezdhet\u0151 a rendez\u00e9s\u00fck. Fontos \u00faj aj\u00e1nl\u00e1sok: 4 kezes ballonos-maszkos\n                    l\u00e9legeztet\u00e9s, oxig\u00e9nter\u00e1pia eset\u00e9n a 94\u201398%-os c\u00e9lszatur\u00e1ci\u00f3 \u00e9s a 10 ml\/kg-os\n                    folyad\u00e9kbolus. Gyermekek alapszint\u0171 \u00fajra\u00e9leszt\u00e9se sor\u00e1n a norm\u00e1lis l\u00e9gz\u00e9s hi\u00e1nya\n                    \u00e9s 5 kezdeti bef\u00fav\u00e1s ut\u00e1n \u00e9letjelek hi\u00e1ny\u00e1ban azonnal megkezdj\u00fck a\n                    mellkaskompresszi\u00f3t, melyet csecsem\u0151k eset\u00e9ben els\u0151sorban k\u00f6rbe\u00f6lel\u00e9ses\n                    technik\u00e1val v\u00e9gz\u00fcnk. Az aj\u00e1nlott frekvencia 100\u2013120\/perc, a kompresszi\u00f3 \u00e9s a\n                    l\u00e9legeztet\u00e9s ar\u00e1nya 15\u00a0:\u00a02. Gyermekek emelt szint\u0171 \u00fajra\u00e9leszt\u00e9se csapatmunka. Az\n                    algoritmus v\u00e1za nem v\u00e1ltozott, tov\u00e1bbra is a legfontosabb a min\u0151s\u00e9gi\n                    mellkaskompresszi\u00f3. Kiemelt hangs\u00falyt kapott a potenci\u00e1lis reverzibilis okok\n                    (4H-4T) felismer\u00e9se \u00e9s kezel\u00e9se, a f\u00f3kusz\u00e1lt ultrahangvizsg\u00e1lat szerepe.\n                    \u00dajdons\u00e1gok: ballonos-maszkos l\u00e9legeztet\u00e9s eset\u00e9n a 4 kezes technika aj\u00e1nl\u00e1sa,\n                    endotrachealis intub\u00e1l\u00e1s ut\u00e1n folyamatos mellkaskompresszi\u00f3 eset\u00e9n az\n                    \u00e9letkorf\u00fcgg\u0151 l\u00e9legeztet\u00e9si frekvencia. A gy\u00f3gyszerel\u00e9sben nincs v\u00e1ltoz\u00e1s, az\n                    adrenalin \u00fajra\u00e9leszt\u00e9s alatt a leggyorsabban intraossealis \u00faton adand\u00f3. A\n                    spont\u00e1n kering\u00e9s visszat\u00e9r\u00e9se ut\u00e1ni ell\u00e1t\u00e1s d\u00f6nt\u0151en befoly\u00e1solja a neurol\u00f3giai\n                    kimenetelt. A betegell\u00e1t\u00e1s ekkor ism\u00e9t az ABCDE-s\u00e9m\u00e1n alapul. Fontos c\u00e9lok:\n                    normoxia, normacapnia biztos\u00edt\u00e1sa, hipotenzi\u00f3, hypoglykaemia, a l\u00e1z elker\u00fcl\u00e9se\n                    \u00e9s c\u00e9lzott h\u0151m\u00e9rs\u00e9klet-menedzsment alkalmaz\u00e1sa. Orv Hetil. 2023; 164(12):\n                    463\u2013473.<\/jats:p>","DOI":"10.1556\/650.2023.32728","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T03:44:18Z","timestamp":1679975058000},"page":"463-473","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Gyermekek \u00fajra\u00e9leszt\u00e9se"],"prefix":"10.1556","volume":"164","author":[{"given":"Gyula","family":"T\u00f6vish\u00e1zi","sequence":"first","affiliation":[{"name":"Magyar Resuscitati\u00f3s T\u00e1rsas\u00e1g Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest, \u00dcll\u0151i \u00fat 26., 1085 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katalin","family":"Csord\u00e1s","sequence":"additional","affiliation":[{"name":"Magyar Resuscitati\u00f3s T\u00e1rsas\u00e1g Budapest Magyarorsz\u00e1g"},{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z \u2013 Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Gyermekhematol\u00f3giai \u00e9s \u0150ssejt-transzplant\u00e1ci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Hauser","sequence":"additional","affiliation":[{"name":"Magyar Resuscitati\u00f3s T\u00e1rsas\u00e1g Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest, \u00dcll\u0151i \u00fat 26., 1085 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.resuscitation.2021.02.015","article-title":"European Resuscitation Council guidelines 2021: paediatric life support","volume":"161","author":"1 Van de Voorde","year":"2021","unstructured":"1 Van de Voorde P, Turner NM, Djakow J, et al. 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